We work with organisations across health, social care, housing and the third sector, including local authorities, housing providers, care agencies, care homes, nursing homes, charities, case managers and legal professionals. Engagements are tailored to the setting, the governance requirements and the outcomes you need to achieve.

Our consultancy can be case-based, embedded or retained. This may include complex case input, occupational therapy review programmes, moving and handling oversight, care package review and optimisation, specialist clinical advice for service redesign, training, quality improvement work, and support with high-risk or stalled decision-making. Each piece of work is shaped around your objectives rather than delivered as a one-size-fits-all package.

A standard assessment usually focuses on an individual case. Consultancy goes wider. It brings occupational therapy into the decisions that affect service delivery, risk management, workforce confidence, care model design and long-term sustainability. The emphasis is not just on identifying need, but on translating clinical reasoning into practical, defensible change.

Yes. Some organisations engage us for a single high-risk case, while others need a broader programme of work across a team, provider service or review pathway. We can support targeted case input, embedded review work, service improvement projects and ongoing retained consultancy, depending on the scale of need.

Our recommendations are grounded in observation, clinical reasoning and the realities of the care environment. Where needed, we do more than write a report: we demonstrate techniques, test safer approaches, and help teams understand how changes should work in practice. This reduces the gap between recommendation and implementation.

Yes, where the evidence supports it. Our role is not to reduce provision at any cost, but to ensure care is proportionate, safe and clinically justified. In some cases this identifies unnecessary or poorly structured support; in others it strengthens the rationale for increased provision. The focus is always on achieving the right level of care, backed by clear and robust clinical reasoning.

Our work is designed to support decision-making in real systems. That means clear reporting, robust clinical reasoning, proportionate risk assessment and recommendations that can stand up to internal scrutiny. We can also align outputs to local criteria, operational pathways and reporting requirements so that the work is immediately usable by your team.